Affluens Home Health LLC
Organization Active NPI Home Health Agency · Farmers Branch, TX
NPI 1578849477 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1578849477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AFFLUENS HOME HEALTH LLC
- Practice address
- 2655 Villa Creek Dr Ste 110
Farmers Branch, TX 75234-7374 - Phone
- (469) 904-8364
- NPI assigned
- Oct 25, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Nancy Tan
- Title
- Owner
- Phone
- (469) 583-2332
Practitioners 1
Affiliated clinicians 3
-
Holly Bell Canaday, M.D.
-
Clara Lucia Lobo, N.P.
-
Marilou Oro, DNP
Medicare Care Compare: Home health agency
- Listed as
- Affluens Home Health LLC
- Overall star rating
- ★★☆☆☆ 1.5 of 5
- Ownership
- Proprietary
- Certified
- Mar 13, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Home health agency certification: CCN 747839
- Legal name
- AFFLUENS HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 13, 2013
- Last certification
- Dec 17, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 14, 2011 in TX
- Enrollment address
- 2655 Villa Creek Dr
Ste 110
Farmers Branch, TX 75234-7374
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Tan |
5% Or Greater Direct Ownership Interest | Jul 10, 2017 | 45% |
| W-2 Managing Employee |
Jul 10, 2017 | 55% | |
| Nancy K Tan |
5% Or Greater Direct Ownership Interest | Jul 10, 2017 | 55% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120613000499 | TX | Part a Provider - Home Health Agency | 3779747274 | Practice locations: Farmers Branch, TX |
National Provider Directory
Locations
2655 Villa Creek Dr
Ste 110
Farmers Branch, TX 75234
Phone (469) 904-8364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2655 Villa Creek Dr Ste 110
Farmers Branch, TX 75234-7374
Mailing address
2655 Villa Creek Dr Ste 110
Farmers Branch, TX 75234-7374
Phone (469) 904-8364
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- Waffiyah Ali Afridi
- Nosawema Evans Agho
- Ahavah Healthcare LLC
- Dedrick Abdur-Rahman Ahmed
- Sambleen Akram
All providers in Farmers Branch, TX · Home Health Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.